| NPI | 1750661088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 112143) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 018092-1) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2023-11-27 |